Exam 3

Question 1

What are we concerned about when the physeal plate (growth plate) breaks?

Answer 1

Growth restriction

Question 2

What is a priority for when a child has a Bryant traction for a broken femur

Answer 2

Make sure buttock is off of bed

Question 3

What are the discharge instructions for a child going home on an antibiotic

Answer 3

Finish the medication
How to take it
What it is for
Adverse reactions

Question 4

What are the normal eating habits of a preschooler

Answer 4

Picky eaters
Educate parents on that they are still eating and it is normal
They are still getting proper consumption

Question 5

At what age does birth weight double

Answer 5

6 months

Question 6

At what age does birth triple

Answer 6

12 months

Question 7

At what age does weight quadruple

Answer 7

3 years old

Question 8

At what age is a child able to walk down the stairs

Answer 8

3

Question 9

What is the leading cause of death in infants

Answer 9

Congenital anomalies
Can happen in womb or during birth
Examples- CP, SIDS, clef palate

Question 10

Health promotion of toddlers

Answer 10

Tantrums
Dental

Question 11

Health promotion of adolescents

Answer 11

Sleep more
Hygiene

Question 12

What is the psychosocial development of a toddler

Answer 12

Autonomy

Question 13

What is another word for pertussis

Answer 13

Whooping cough

Question 14

Where do you assess a newborns HR

Answer 14

Apex of the heart

Question 15

What are signs of puberty in a school age boy

Answer 15

Pubic, arm pit, and leg hair
Testicular enlargement
Voice changes
Heigh spikes at end of puberty

Question 16

What is normal lead value in a one year old

Answer 16

4 mcg or lower
Test in a year

Question 17

What should a parent do if a toddler says there are monsters under there bed

Answer 17

Put a night light
Ease the fear

Question 18

What age should a toddler say a two word phrase “go-bye”

Answer 18

30 months

Question 19

Pre college vaccine

Answer 19

Meningococcal

Question 20

What are some findings that can be seen at a 6 month well check that requires intervention

Answer 20

Posterior fontanel lower
Helmet needed if not closing

Question 21

What reaction will a 18 month old have in the hospital without a parent

Answer 21

Anxiety
Scared

Question 22

What is it when a toddler starts to wet the bed in the hospital but was potty trained

Answer 22

Regression
Tell parents it is completely normal

Question 23

How do you assess the abdomen of a child

Answer 23

Without tenderness no guarding
Symmetric shape
Infants- rounded
Bowel sound every 5-30 seconds

Question 24

What is needed to be done with a patient with spina bifida

Answer 24

Cath every 4 hours

Question 25

When should you assess the ears at a well child visit

Answer 25

Last

Question 26

What are signs of an ear infection

Answer 26

Tugging of the ears

Question 27

When a child has a cleft palate repair how do you soothe them After surgery

Answer 27

Hold and rock them

Question 28

What vaccines does a 12 month old receive

Answer 28

MMR and varicella

Question 29

What symptom occur with sudden rupture of membrane

Answer 29

Sudden relief of pain

Question 30

What side should a patient be put on with a VP shunt

Answer 30

Unoperated

Question 31

What assessment findings can be found with ICP

Answer 31

Bulging fontanelles High pitched cry Flexed position

Question 32

What age should an infant be able to stand alone without support

Answer 32

12 months

Question 33

When should an infant be able to raise head when laying on stomach

Answer 33

3 months

Question 34

What medication should be used for JIA (arthritis)

Answer 34

Steroids

Question 35

What position should a 5 month old be put in for a lumbar puncture

Answer 35

Knee-chest

Question 36

What type of toy can be given to a two year old in a hospital when having a tantrum

Answer 36

Something to pound on (hammer)

Question 37

What type of toy is appropriate for a 12 month old

Answer 37

Blocks

Question 38

What finding will you find with a 6 month old in pain

Answer 38

Furrow brow

Question 39

What is a normal finding of a 3 year old at a well check

Answer 39

Standing on one foot

Question 40

What is the normal iron level

Answer 40

10-30

Question 41

Nursing priority for suspected meningitis

Answer 41

Precautions

Question 42

What are some signs a preschooler might need speech therapy

Answer 42

Stuttering Mispronounced words Speaking in a nasally tone

Question 43

What are nursing intervention for a school aged kid in the hospital

Answer 43

Homework Games Personal clothes Favorite meals/snacks

Question 44

What is a normal behavior from a 10 year old about to get an IV

Answer 44

Stalling Gain control

Question 45

What are some intervention for a blind patient

Answer 45

Keep things in same place Identify loud noises

Question 46

Who can you refer a child to when there is speech concern besides speech therapy

Answer 46

Hearing specialist

Question 47

What do you do for amblyopia

Answer 47

Place patch on good eye

Question 48

What is the proper teaching for pink eye

Answer 48

Finish eye drops Inner canthus to outer canthus Wash hands Keep eye clean

Question 49

What is it called when you can’t see distance (nearsightedness)

Answer 49

Myopia

Question 50

What is the best way to teach a child to read lips

Answer 50

Speak at an even rate

Question 51

What is the reason for well visits

Answer 51

Early detection

Question 52

What is a neural tube defect

Answer 52

Spina bifida

Question 53

What is a sign a 11 month old is having a CNS infection

Answer 53

Bulging fontanelles

Question 54

How can you help an 8 month old with CP sit

Answer 54

Prop with pillows

Question 55

When taking a toddlers vitals what should you do

Answer 55

Tell them what you are doing

Question 56

What is a spina bifida patient allergic too

Answer 56

Latex (strawberry and banana)

Question 57

How would you take the temp of a patient with a myelomenigocele

Answer 57

Axillary

Question 58

What actions should be taken for a seizure

Answer 58

Place them on there side Remove hazards Airway

Question 59

What teaching should be done for iron deficiency medication

Answer 59

Do not take with milk Take with orange juice

Question 60

What is the risk for low platelet count

Answer 60

Bleeding

Question 61

What are interventions for a 3 year old receiving surgery

Answer 61

Have parent stay with them Keep you Perform quickly

Question 62

What is the goal for the plan of care for a hemi pelagic patient

Answer 62

Safety

Question 63

What should be included in the plan of care for a 6 year old with bacterial meningitis

Answer 63

Semi Fowlers Neuro/seizure precaution Precautions Antibiotics

Question 64

What is the pain scale for a 2-6 month old

Answer 64

FLACC

Question 65

Newborn pain scale

Answer 65

NIPS

Question 66

What deficiency is most worried about in toddlers

Answer 66

Iron deficiency

Question 67

What is normal behavior from adolescents receiving surgery

Answer 67

Concerned about body image

Question 68

What can you advocate for when a big surgery is happening

Answer 68

PCA pump

Question 69

Trust vs mistrust

Answer 69

Birth- 1 year

Question 70

Autonomy vs shame

Answer 70

1-3 years

Question 71

Initiative vs guilt

Answer 71

3-6

Question 72

Industry vs inferiority

Answer 72

6-12

Question 73

Identity be role confusion

Answer 73

12-20

Question 74

Restraint for a 2 year old

Answer 74

Elbow

Question 75

Signs and symptoms of ICP

Answer 75

Sleepy